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Characteristics of Women Who Do Not Seek Prenatal Care and Implications for Prevention |
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| Authors: | Susan Hatters Friedman Amy Heneghan Miriam Rosenthal |
| Institution: | MD, is a senior instructor in psychiatry and pediatrics at Case Western Reserve University, School of Medicine, Cleveland, OH; MD, is an adjunct associate professor of pediatrics at Case Western Reserve University, School of Medicine, Cleveland, OH; MD, is an associate professor emeritus in psychiatry and obstetrics/gynecology at Case Western Reserve University, School of Medicine, Cleveland, OH |
| Abstract: | Objectives: To describe characteristics of women without prenatal care and their reasons for not seeking prenatal care. Design: Retrospective record review. Setting: Urban, academic medical center. Participants: Women without prenatal care whose pregnancies reached the third trimester, who presented to the hospital for delivery or immediately postpartum for a 7 year period. Methods: Records were reviewed for factors including socio-demographic factors, history of pregnancy/miscarriage/abortion, social supports, abuse history, history of substance use, toxicology results, history of mental illness or mental retardation, and the reason for lack of prenatal care. Results: Among 211 women with no prenatal care, the primary reasons were noted: 30% had problems with substance use; 29% experienced denial of pregnancy; 18% had financial reasons; 9% concealed pregnancy; and 6% believed they did not need prenatal care due to multiparity. Women with substance use disorders were significantly more likely to be older, unemployed multigravidas. Conclusions: Nurses should target specific groups of women for education and intervention based on their rationale for not seeking prenatal care. |
| Keywords: | no prenatal care denial of pregnancy substance use disorders |
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